Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2013
Case ReportsSub-dural hematoma following spinal anesthesia treated with epidural blood patch and burr-hole evacuation: a case report.
The appearance of a subdural hematoma (SDH) following spinal anesthesia is a serious and rare complication which mandates prompt diagnosis, although the treatment modalities are not well codified. Patients with post-dural puncture headache (PDPH) non-responsive to conservative measures and/or those patients with a change of the character of the headache should be considered seriously. In symptomatic patients, evacuation of SDH is essential but epidural blood patch should be strongly considered as it can prevent reappearance of SDH by sealing the dural defect.
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Middle East J Anaesthesiol · Feb 2013
Case ReportsContinuous intraoperative TEE monitoring for a child with Fontan pathway undergoing post spinal fusion.
The following case report describes a very challenging surgical case where the use of intraoperative, continuous TEE monitoring in the prone position was crucial for the anesthetic management (diagnosis and treatment) of a patient with single ventricle physiology. The use of TEE monitoring enabled the anesthesia team to continuously assess hemodynamic stability and respond immediately to hypotension and bradycardia in our patient, thereby providing optimal anesthetic care of the intraoperative spinal fusion patient with Fontan physiology.